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Monkeypox Has Reached BC: What You Should Know – TheTyee.ca

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British Columbia’s first confirmed monkeypox infection is “an isolated case” and the risk is low, health officials said this week.

Dr. Mark Lysyshyn, deputy chief medical health officer at Vancouver Coastal Health, said the Vancouver resident was a close contact of another person with a confirmed case of monkeypox in Quebec.

Public health is conducting contact tracing and supporting the individual at home.

Canada has confirmed at least 77 cases of the virus, which has broken out in a number of countries where it is not typically seen in recent weeks.

As of Saturday, there were about 780 cases identified in countries outside central and West Africa where it is more common, according to the World Health Organization.

Monkeypox is a disease caused by the monkeypox virus that transmits through close physical contact with sores and lesions, items like bedding, towels and utensils, and respiratory droplets during prolonged, face-to-face contact with someone who is infected.

It is not known to transmit sexually through semen, blood or vaginal discharge, but it can spread through close physical contact during sex.

Symptoms include fever, rash, swollen lymph nodes, open lesions on the genitals and hands and headaches. The symptoms can develop anywhere from five to 21 days after infection, and sores can spread all over the body.

Older people, young babies and people who are immunocompromised are at higher risk for serious symptoms and death.

About three to six per cent of reported cases have resulted in death in endemic countries, according to the World Health Organization. WHO notes this might be an overestimate, as limited testing in those area means many non-fatal cases are not identified.

“Most people with this strain of monkeypox actually don’t get very sick and, although it takes a few weeks for the rash to resolve, most people get better on their own,” said Lysyshyn.

And the risk of transmission to the general population is low, according to the BC Centre for Disease Control.

“Here in B.C., we don’t believe that we have ongoing community transmission. This is an isolated case that’s linked to a cluster of cases somewhere else,” he said. “But if people are travelling to locations where monkeypox is happening, we want them to practise safe sex and to monitor for symptoms upon their return.”

It is very unlikely B.C. will see broader public health measures like COVID-19 pandemic protections because monkeypox transmits differently and much less easily than COVID-19, Lysyshyn said.

“There have been case clusters of monkeypox outside endemic countries before, and there tends to be some transmission, but then it settles down, because basically, people are not in physical unprotected contact with many people over and over again,” he said.

The current outbreak has been primarily among men who have sex with men spreading it through close physical contact during sex, he said, which is different from past clusters.

“Presumably, at some point, somebody with monkeypox came to Europe, and then this kind of transmission started happening amongst the community of men who have sex with men,” Lysyshyn said. “And so it seems to be spreading within that social and sexual network.”

Men who have sex with men are typically overrepresented in official disease reporting because they have excellent health seeking behaviours, according to the WHO. As a result of the devastation of the HIV-AIDS epidemic, they are more likely to notice, report and seek treatment for sexually transmitted infections and other communicable diseases.

Lysyshyn encouraged men who have sex with men and their close contacts to practise safer sex and self-monitor for symptoms. “It’s not to stigmatize that community, it’s just to let people know who are at that heightened risk.”

And if someone believes they have monkeypox, they should isolate themselves from their close contacts and contact public health to get tested.

For the moment, Vancouver Coastal Health is monitoring the situation and conducting contact tracing.

Canada has vaccines available that can protect people who have been exposed against more severe symptoms, which public health will administer to close contacts on a case-by-case basis.

“But if we were to start seeing cases that were spontaneous here in B.C., that had no links to other cases, or to other cases in other locations, that might be more concerning,” said Lysyshyn. “And we would have to change our strategy.”

*Story updated on June 6 at 10 a.m. to clarify information about how the Monkeypox has spread.

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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